Peds - Eyes and Ears Flashcards
(52 cards)
A common staphlococcal abcess on upper or lower eyelid with ABRUPT onset; PAINFUL
Hordeolum / Stye
When to refer hordeolum?
If no resolution within 48 hours
Management of hordeolum
2
Warm compresses
Consider bacitracin on erythromycin ophthalmic ointment
A non-tender beady nodule (granuloma) on the eyelid; c/b infection or retention cyst of the meibomian gland
Chalazion
Management of chalazion
Warm compresses
Refer for surgical removal
Chalazion - signs and symtoms
7
PAINLESS and may have:
Light sensitivity
Visual distortion if pressing on lens
Conjunctivitis with purulent discharge is associated with:
bacterial cause
Conjunctivitis with COPIOUS purulent discharge is associated with:
Gonococcal cause
Conjunctivitis with stringy discharge is associated with:
allergic cause
Conjunctivitis with watery discharge is associated with:
viral cause
Conjunctivitis which is bright red and irritated is associated with:
herpes
Treatment of CHEMICAL conjunctivitis
2
self-limiting
flush with water
Treatment of BACTERIAL conjunctivitis
3
o erythromycin ophthalmic
o tetracycline
o polymyxin B ophthalmic
Treatment of GONOCOCCAL conjunctivitis (2)
Penicillin G - IV
Ceftriaxone - IM
Treatment of CHLAMYDIAL conjunctivitis (2 with examples of second - class and drugs)
o erythromycin ophthalmic OINTMENT
o ORAL therapy - tetracyclines or macrolides
tetracycline
doxycycline
erythromycin
clarithromycin
azithromycinTreatment of ALLERGIC conjunctivitis
o oral antihistamines
o refer to allergy and ophthamology
Why are ophthalmic steroids not used in primary care for conjuncitivitis?
risk of:
increased intraocular pressure
activation of herpes simplex virus
When should conjunctivitis be cultured?
baby under 30 days old
suspect gonorrheal cause in any age
Treatment of VIRAL conjunctivitis
mild
mod
severe
mild –> refrigerated NSS gtts
mod –> decongestants, antihistamines, mast cell stabilizers, NSAIDS
severe –> sulfacetamide for bacterial prophylaxis
Treatment for HERPETIC conjunctivitis
Refer to ophthamlogist
An abnormal, uniform, progressive opacity of the eye often seen with co-morbid conditions.
Cataract
What co-morbid conditions are associated with CATARACTS?
4
o Down’s syndrome
o DM
o Marfan
o Atopic dermatitis
Possible causes of cataracts
5
o congenital o prolonged steroid use o infection o injury o radiation
NP management of cataracts
Refer for surgery
